| NPI | 1518912393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L JENSON Owner 918-610-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OK 24668) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-08-30 |